November 2014 Briefing - Infectious Disease

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Here are what the editors at HealthDay consider to be the most important developments in Infectious Disease for November 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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CDC: Most Americans With HIV Don't Have Virus Under Control

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- A U.S. Centers for Disease Control and Prevention report estimates that 70 percent of the 1.2 million Americans living with HIV in 2011 did not have their virus under control, even though combination drug therapies can effectively suppress the virus before it can develop into full-blown AIDS.

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PCV13 Recommended for 6- to 18-Year-Olds at High Risk

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Pneumococcal conjugate vaccine 13 (PCV13) should be administered to certain children aged 6 through 18 years who are at high risk of invasive pneumococcal disease (IPD), according to a policy statement published online Nov. 24 in Pediatrics.

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Worse Outcomes With Deferral of ART Initiation in HIV-1

TUESDAY, Nov. 25, 2014 (HealthDay News) -- For individuals with HIV-1 infection, deferral of antiretroviral therapy (ART) beyond 12 months is associated with worse outcomes, according to research published online Nov. 24 in JAMA Internal Medicine.

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Restroom Hand Dryers Spread More Germs Than Paper Towels

MONDAY, Nov. 24, 2014 (HealthDay News) -- Air-blown hand dryers in public restrooms may spread far more germs than conventional paper towels, according to a new study published in the Journal of Hospital Infection and presented at the Healthcare Infection Society International Conference in Lyon, France.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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Strategies Needed to Encourage Appropriate Antibiotic Selection

MONDAY, Nov. 24, 2014 (HealthDay News) -- Although primary care providers are generally familiar with guideline recommendations for antibiotic drug selection, they do not always comply with these guidelines, according to research published in the December issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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Bacterial Pathogens Identified in Hidradenitis Suppurativa Lesions

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Bacteria that are known to cause soft tissue and skin infections have been found in association with hidradenitis suppurativa (HS) lesions, according to a study published in the December issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Variation in Proportion of Cancer Survivors Undergoing HIV Testing

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- The proportion of cancer survivors undergoing HIV testing varies by state and demographic and health-related factors, according to a study published Nov. 13 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Trainee-Led Time-Outs Can Improve Antimicrobial Use

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- Trainee-led time-outs to reevaluate antibiotic use can reduce costs in internal medicine units, according to a study published in a supplement to the Nov. 18 issue of the Annals of Internal Medicine, highlighting the Robert Wood Johnson Foundation Clinical Scholars Program.

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Parents Want Children in Day Care to Be Vaccinated

TUESDAY, Nov. 18, 2014 (HealthDay News) -- Three-quarters of American parents would consider removing their children from day care if other children did not have all the recommended vaccinations, and many say that under-vaccinated children shouldn't be allowed to attend day care, according to a new University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health.

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Fluid, Electrolyte Replacement Successful in Two Cases of EVD

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Aggressive fluid and electrolyte replacement successfully improved the condition of two patients with Ebola virus disease (EVD), according to case reports published online Nov. 12 in the New England Journal of Medicine.

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New Rx Regimen Produces HCV SVR in Liver Transplant Patients

FRIDAY, Nov. 14, 2014 (HealthDay News) -- A new drug regimen produced high sustained virologic response (SVR) rates in a small group of liver transplant patients with recurrent hepatitis C virus genotype 1 infection. The report was published online Nov. 12 in the New England Journal of Medicine.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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Research Shows Men Can Get Oral HPV Infection From Women

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Men are at increased risk for oral human papillomavirus (HPV) infection if their female sex partners have oral and/or genital HPV infections, according to a study published online Nov. 12 in Cancer Epidemiology, Biomarkers & Prevention.

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Life Expectancy Equal to General Population With SVR in HCV

TUESDAY, Nov. 11, 2014 (HealthDay News) -- For patients with chronic hepatitis C virus (HCV) and bridging fibrosis or cirrhosis, attaining sustained virological response (SVR) is associated with life expectancy comparable to the general population, according to a study published in the Nov. 12 issue of the Journal of the American Medical Association.

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Fewer U.S. Hospitalizations for Hepatitis A

MONDAY, Nov. 10, 2014 (HealthDay News) -- There has been a sharp decline in the rate of hospitalizations for hepatitis A in the United States, according to a study published online recently in Hepatology.

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Review: Point-of-Care Biomarker May Help Cut Antibiotic Use

MONDAY, Nov. 10, 2014 (HealthDay News) -- The point-of-care C-reactive protein biomarker test of infection can reduce antibiotic use, although it does not affect clinical recovery, according to a review published online Nov. 6 in The Cochrane Library.

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CDC Spends $2.7 Million on Ebola Hospital Kits

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About $2.7 million in personal protective gear has been ordered for health care workers at U.S. hospitals treating Ebola patients, the federal Centers for Disease Control and Prevention said Friday.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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CDC: Newer Pneumonia Vaccine for Children Beats Older Version

THURSDAY, Nov. 6, 2014 (HealthDay News) -- A new pneumococcal vaccine is almost 30 percent more effective than its previous version in preventing hospitalizations of young children for pneumonia, according to research published in the Nov. 7 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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ACOG Issues Guidance for Care of Pregnant Women With Ebola

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Guidelines have been developed for the care of pregnant women at risk of or with suspected Ebola virus disease (EVD), according to a practice advisory published online Nov. 3 by the American College of Obstetricians and Gynecologists (ACOG).

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Walking Program Feasible, Safe for Older Adults in Hospital

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A clinical demonstration program of supervised walking for older adults admitted to the hospital is feasible and safe, and its participants are more often discharged directly to home, according to a study published online Oct. 30 in the Journal of the American Geriatrics Society.

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Hospital MRSA Traced to U.K. Livestock

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A strain of methicillin-resistant Staphylococcus aureus (MRSA) in hospitals can be traced back to livestock, and the strain's resistance to antibiotics is likely due to the widespread use of antibiotics on farms, according to a study published in the December issue of Applied and Environmental Microbiology.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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Opening Visitation Access Boosts Patient, Family Experience

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Opening visitation access across all facilities can improve patient and family experience, according to research published in the July/August issue of the Journal of Nursing Administration.

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HPV Vaccine Not Protective Against Recurrent Warts in Men

TUESDAY, Nov. 4, 2014 (HealthDay News) -- The current quadrivalent human papillomavirus (HPV) vaccine does not have a significant impact on the recurrence of genital warts in men exposed to HPV infection, according to research published in the November issue of the Journal of Sexual Medicine.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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Sofosbuvir Plus Ledipasvir Seems Effective for HCV Genotype 1

MONDAY, Nov. 3, 2014 (HealthDay News) -- For patients with chronic hepatitis C virus genotype 1 (HCV GT-1) infection who are ineligible for interferon therapy, and who relapsed after sofosbuvir and ribavirin treatment, sofosbuvir plus ledipasvir is a promising new therapy, according to a small study published in the Nov. 4 issue of the Annals of Internal Medicine.

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Ebola Elimination Possible With Early Patient Isolation

MONDAY, Nov. 3, 2014 (HealthDay News) -- Isolation of patients with Ebola in critical condition within days of symptom onset is likely to have a high chance of eliminating the disease, according to a study published online Oct. 28 in the Annals of Internal Medicine.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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